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Biomedical subjects

D H Nichols

Publications and source records attributed to D H Nichols.

At least 55 records · Page 3Linked to original sources

Neural crest formation in the head of the mouse embryo as observed using a new histological technique.

A histological technique is described which results in the differential staining of neural crest cells. This is used to describe the formation and early migration of crest cells in the head of the mouse embryo. The first indications of crest formation are seen in the midbrain/anterior hindbrain at 3--4 somites where crest cells accumulate in the basal surface of the ectodermal epithelium near the future margin of the neural plate. Shortly thereafter (4--6 somites) these cells disrupt the basal surface of the epithelium and escape as mesenchyme. The apical epithelial cells in this region become the surface ectoderm adjacent to the neural plate. Subsequently, crest is formed from neural plate rather than surface ectoderm. In addition, mesenchyme is formed from presumptive surface ectoderm in a groove in the lateral portion of the fold between the forebrain and the midbrain. By 5--7 somites, crest mesenchyme is formed at all levels of the midbrain, hindbrain, and from the margins of the forebrain adjacent to the optic pits. Because of the bending of the embryonic axis, forebrain crest cells appear to migrate dorsally over the presumptive eye where they are met by ventrally migrating midbrain crest cells. Crest formation continues in the region of the midbrain and hindbrain during, and for an undetermined period after closure of the head folds at between 8 and 16 somites. These results demonstrate differences in the origin and timing of crest formation between chick and mouse. From this may be inferred different patterns of crest migration as well. In addition, the ability to directly observe early crest formation should aid in the analysis of the mechanisms by which epithelial cells are converted into mesenchyme.

Animals↗

Genital prolapse during pregnancy.

A case is presented of genital prolapse occurring during pregnancy in a patient with multiple congenital urogenital defects. The etiologies are hypothesized to be a congenitally defective pelvis and hormonally mediated connective tissue changes in pregnancy. The procidentia was treated with a vaginal hysterectomy, anterior and posterior colporrhaphy and sarcrospinous fixation. Pudendal nerve injury as a rare complication of sacrospinous fixation is discussed.

Adult↗

Effects of pelvic relaxation on gynecologic urologic problems.

It is evident that the maintenance and reestablishment of urinary continence is in large part dependent, during times of intraabdominal stress, upon maintenance of an intraurethral pressure higher than that within the bladder. It is important that the presence of cystocele be carefully and accurately assessed preoperatively and intraoperatively so that correction appropriate to its etiologic circumstance can be achieved. Continence is under the influence of urethral tone, as well as the response of the distal urethra to changes in intraabdominal pressure. Cranial elevation of the vesicourethral junction, as may be required, may be provided by any one of several different or combined surgical techniques. When vaginal inversion causes displacement of the vesicourethral junction, a restoration of vaginal depth and axis by transvaginal sacrospinous fixation with appropriate colporrhaphy will relocate a defective urethrovesical site to a higher level within the pelvis where it may once again be responsive to changes in intraabdominal pressure.

Estrogens↗

A technique for vaginal oophorectomy.

If retention or removal of the postmenopausal ovary is to receive similar attention at vaginal hysterectomy as at abdominal hysterectomy, more consideration must be given to the development of safe and secure techniques for vaginal oophorectomy. Technical problems relating to exposure and accessibility are obviously more pronounced with a transvaginal surgical approach. When salpingo-oophorectomy is surgically inaccessible, oophorectomy may often be performed. A stitch embodying a single penetration of the mesovarium is described for suture ligation.

Castration↗